Individual
ELIZABETH EWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
201500 N 51ST AVE, SUITE E-550, GLENDALE, AZ 85308
(623) 561-2400
Mailing address
201500 NORTH 51ST AVENUE, SUITE E-550, GLENDALE, AZ 85308
(623) 561-2400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009516
AZ
Other
Enumeration date
07/20/2016
Last updated
06/29/2017
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